Active NPI
Nostrum Therapy Management Services LLC
- Pharmacist
- Billerica, MA
National Provider Identifier
1790170231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234446
- Legal business name
- NOSTRUM THERAPY MANAGEMENT SERVICES LLC
- Practice address
- 22 Basswood Ave
Billerica, MA 01821-1604 - Phone
- (617) 797-4842
- NPI assigned
- Apr 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tina U Bandekar, RPH
- Title
- Manager/Owner
- Phone
- (617) 797-4842
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234446 | MA | Primary |
Addresses
Primary practice location
22 Basswood Ave
Billerica, MA 01821-1604
Mailing address
22 Basswood Ave
Billerica, MA 01821-1604
Phone (617) 797-4842
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427846400000",
"number": "1790170231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BASSWOOD AVE",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018211604",
"telephone_number": "617-797-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BASSWOOD AVE",
"city": "BILLERICA",
"state": "MA",
"postal_code": "018211604",
"telephone_number": "617-797-4842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOSTRUM THERAPY MANAGEMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A",
"authorized_official_last_name": "BANDEKAR",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "617-797-4842",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billerica, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.